Hi everyone, Cindy Fan here and welcome back to another episode of Hoopbeats where we challenge you to solve

dynastically difficult reward cases alongside experienced clinicians.

As always I'm here with my partner, Dr. Jean-Hwang.

Hey everyone.

So if you remember, over the last few episodes, we've been trying different formats to spice things up.

Last episode, we presented a case in a very reduced format with a sequentially provided chunks of information and we had multiple

discussants tackling the case together.

And for this episode, we are going to try something different too. This time our

discussion is going to tackle not one, not two, but three cases. Again the cases are

very short and only the bare minimum information is provided for each one.

At the end of this episode, the diagnosis for all three cases will be revealed.

Of course, not until we hear from our discussion first.

Without further ado, let us hear the first case from our very own chief executive producer,

Core I am, Dr Shreya Treveti.

All right, so the information for our first case, we have a 66-year-old male who presents with abdominal

pain for about two days. It's a right upper quadrant pain, worse when he moves, worse

when he takes a deep breath breath and associated with some nausea.

His past medical history, he has asthma, it's mild intermittent, obstructive sleep apnea, hypertension,

hyperlipidemia, his social history, he's a 45-pack-year smoker,

quit about five years ago.

Lidal signs, he's 8-fabrile, heart rate 94, blood pressure, 144 over 74, breathing at 18, 96% on room air and 81 kilograms.

His exam is significant for right lower lobe rails and right CVA tenderness.

...